Individual
MRS. JENNIFER NICOLLE BLUME
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1026 A AVE NE, CEDAR RAPIDS, IA 52402-5036
(319) 369-7959
(319) 369-7812
Mailing address
1026 A AVE NE, PO BOX 3026, CEDAR RAPIDS, IA 52402-5036
(319) 369-7959
(319) 369-7812
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
115071
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0600452
—
IA
Enumeration date
10/08/2010
Last updated
10/08/2010
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